to be stopped, the ticking of which annoyed her greatly. Her hearing
gradually became of the natural intensity, and continued perfect. In
this case there can be little doubt that restoration of a sense which
had long remained dormant arose entirely from cerebral commotion, for
no discharge of blood or other fluid occurred from the ears, by which
cerumen accumulated in these organs might have been displaced. People
sometimes forget languages from hurts of the brain, whilst they retain
memory in other respects; or, rather, the memory on certain things
becomes injured, but remains quite perfect on others.
_Treatment._—Whilst the circulation remains depressed after injuries
of the head, or of other parts of the body, it is a common practice to
abstract blood; but it is one which cannot be too much reprobated, for
it is attended with great risk, and can be productive of no benefit;
the feeble remains of vital power, whilst struggling as it were against
the depressing cause, may by depletion be quickly annihilated, when
the vigour which they still retained might have been sufficient, if
encouraged and supported, to overcome those effects of external injury
which had so far reduced them.
When a patient is seen insensible, it is highly proper and necessary
to examine carefully the trunk, head, and limbs, in order to ascertain
whether either fractures or displacements have occurred; for it is by
no means creditable to the care or science of a surgeon to be made
aware of such accidents when the patient regains his senses, after the
lapse perhaps of weeks, and when they can be remedied, if at all, with
much difficulty.
In the first stage of concussion, as was already observed, the
circulation is much weakened, and it is therefore necessary to adopt
means for sustaining and strengthening it; and with this view, warmth
is to be applied to the surface, more especially to the extremities and
epigastrium.
When the powers of life appear to be failing, stimulants must be
administered internally. Perhaps the most convenient stimulus is ardent
spirit, the only objection to its use being, that when imprudently
given in large quantities, its effects, though at first stimulant,
become sedative; it ought to be given in small quantities, and at short
intervals. Other stimuli, as preparations of ammonia, may be given
by the mouth; and much advantage will often be found to follow the
employment of a turpentine enema, free motion of the bowels, as well as
excitement of the system, being thereby procured.
Public-domain text, read in full here on John Shaqi.
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